Dietrich, Kristen Lankford

Dietrich, Kristen Lankford is an sole proprietor health care provider with primary practice located at 3579 Franklin Tower Dr , Mount Pleasant SC 29466-9383. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dietrich, Kristen Lankford can be contacted via phone (843) 810-9198.

Contact Information

Primary practice address
3579 Franklin Tower Dr Mount Pleasant SC 29466-9383
Fax: (855) 279-3149
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4516 South Carolina

Profile Details

NPI number 1295966794
LBN Legal business name Dietrich, Kristen Lankford
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2009
Last updated Mar 29th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295966794 NPPES
South Carolina MEDICAID SA1113
South Carolina Other 30099867
South Carolina MEDICAID GP5764

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